HomeMy WebLinkAbout0126043-Electric
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OSHKOSH
ON THE WATER
Job Address 3190 BAILEY CT
Contractor ELECTRICAL CONTRACTING SPECIAU:
CITY OF OSHKOSH
No
126043
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
Ie New
o Change 0 Temp
Owner RUSCH HOMES LLC Create Date 07/23/2007
Category 611 - Residential-New Single Family Wirin Plan
o NIA Type o Overhead . Underground
Circuits 25 Luminaires 20
Switches 30 Receptacles 50
Volts 120/240
Amps 200
Appliances Range, dishwasher, garbage disposal, dryer, furnace, alc
Use/Nature of NSFRI New single family 1 story 2 car attached garage and 14' x 14' patio.
Work
Fees: Valuation
$4,200.00
~
Plan Approval
$0.00
Permit Fee Paid
$128.00
Issued By:
Date 08/01/2007
D Penmit Voided I
Parcel Id # 1342950200
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature ,~~
!!/I; tll
Date
Agent/Owner
Address
4641 RED FOX RD
OSHKOSH
WI 54904 - 7784
Telephone Number (920) 230-1994
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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ON THF WATFR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor participatinf! in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account 0
DATE
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JOB ADDRESS 3110 &.:/~ ~,-
OWNER f(VJc-l-../~~L<"
CONTRACTOR C:/e.<...f1'14+/ ~A1h'_<-.f-;'J ~~\D.{ :s/-s I LLC
CHECK 0' ALL APPLICABLE
USE CATEGORY
JXISingle Family
SERVICE ~New
DChange
DDuplex
DMulti-Family
DRental
D Commercial
Dlndustrial
o Temporary
DNot Applicable
TYPE DOverhead
lXfU nderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
/20 1.1(0
I
J-oo
Receptacles # .0
Circuits #
2-5"
Switches # :> 0
Fixtures # ~ D
CHECK 0' ALL APPLICABLE
1i2lRange
DFan OR Blower
DMotors
mDishwasher
lZfFumace
DGas Pumps
~Garbage Disposal
~AlC
DOther
~ryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE /{S F!(
VALUE (Including labor and all materials including light fixtures) $ t.( 2-.>0
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MASTER ELECTRICIAN ---:>
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